
    <div class="widget">

        <!-- /.widgetTitle -->
        <div class="widgetContent"  style="background-color: #ffffcc">
            <div class="block">
                <h2 class="text-dark-orange">Post Your Requirement Free! </h2>
                <p>Just complete this simple form, Get Instant quotes from Verified Suppliers</p>
            </div>
            <form id="post_requirement" method="post"
					action="<?= URL::base();?>/products/requirement/add"
					accept-charset="<?= Settings::get('en','charset');?>" class="form-horizontal">
            
                  <span class="pull-right" id="requirement"></span> 
                <div class="form-group">
                    <label class="col-sm-3 control-label">Product/Services</label>
                    <div class="col-sm-8">
                            <input type="hidden"  name="selectbox-1" id="selectbox-1" class="search-field f-left ui-autocomplete-input select2" data-placeholder="Choose An Option.." />
                   
                    </div>
                </div>

                <div class="form-group">
                    <label class="col-sm-3 control-label">Requirements in detail </label>
                    <div class="col-sm-8">
                        <textarea class="form-control" rows="3" name="requirement_details" id="requirement_details"></textarea>
                    </div>
                </div>

                <div class="form-group">
                    <label class="col-sm-3 control-label">Prefer Location </label>
                    <div class="col-sm-8">
                         <input type="hidden"  name="selectbox-mylocation5"  id="selectbox-mylocation5" class="search-field f-right ui-autocomplete-input select2" data-placeholder="<?= Location::get();?>" />
					
                    </div>
                </div>

                <hr>

                <div class="form-group">
                    <label class="col-sm-3 control-label">Your Name</label>
                    <div class="col-sm-8">
                        <input type="text" class="field" placeholder="Full Name" name="requirement_name" id="requirement_name">
                    </div>
                </div>

                <div class="form-group">
                    <label class="col-sm-3 control-label">Email & Contact </label>
                    <div class="col-sm-5">
                        <input type="text" class="field" placeholder="Email" name="requirement_email" id="requirement_email">
                    </div>
                    <div class="col-sm-3">
                        <input type="text" class="field" placeholder="Phone No" name="requirement_contact" id="requirement_contact">
                    </div>
                </div>

                <div class="form-group">
                    <div class="col-sm-offset-3 col-sm-9">
                        <button type="submit" class="btn btn-info">Post Requirement</button>
                    </div>
                </div>
            </form>
        </div>
        <!-- /.widgetContent -->
    </div>
    <!-- /.widget -->
